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Archives de pédiatrie
Volume 18, n° 2
pages 183-185 (février 2011)
Doi : 10.1016/j.arcped.2010.11.010
Received : 28 April 2010 ;  accepted : 26 November 2010
Tuméfactions multiples chez un nouveau-né révélant une botryomycose
Neonatal botryomycosis
 

A. Gosselin a, E. Bosdure a, S. Hesse b, V. Barlogis c, M.-A. Chrestian d, J.-C. Dubus a, , e
a Unité de médecine infantile, CHU Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France 
b Service de dermatologie, CHU Timone, 264, rue Saint-Piere, 13385 Marseille cedex 5, France 
c Service d’hématologie pédiatrique, CHU Timone-Enfants, 264, rue Saint-Piere, 13385 Marseille cedex 5, France 
d Service d’anatomopathologie, CHU Timone, 264, rue Saint-Piere, 13385 Marseille cedex 5, France 
e CNRS, URMITE 6234, faculté de médecine, Marseille, France 

Auteur correspondant.
Résumé

La botryomycose est une infection bactérienne rare. Elle se présente sous 2 formes : cutanée ou viscérale. Moins de 30 cas pédiatriques ont été rapportés. Nous présentons le cas, pour la première fois chez un nouveau-né de 14 j, d’une botryomycose révélée par 4 tuméfactions de localisation inguinale et poplitée, sans syndrome inflammatoire biologique. L’examen anatomopathologique du prélèvement était en faveur de cette pathologie. La culture du prélèvement retrouvait un Staphylococcus aureus. L’évolution était favorable sous antibiothérapie adaptée prolongée. Un terrain sous-jacent à type de déficit immunitaire ou mucoviscidose a été écarté.

The full text of this article is available in PDF format.
Summary

Botryomycosis is an uncommon bacterial infection. It occurs in two forms: cutaneous and visceral. Fewer than 30 pediatric cases have been reported. We present the first case of a 14-day-old newborn with botryomycosis revealed by four tumefactions located in the inguinal and popliteal hollows, without a biological inflammatory syndrome. Pathological examination of the sample demonstrated botryomycosis. The culture collection found Staphylococcus aureus . Progression was favorable with appropriate prolonged antibiotic therapy. Predicting factors such as immunodeficiency or cystic fibrosis were excluded.

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